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Published Version (Advanced Access)CC BY V4.0, Open Access
Journal article
Developing a Same-Day Discharge Clinical Pathway for Patients Undergoing Elective Percutaneous Coronary Intervention Using a Nominal Group Technique
Heart, Lung and Circulation, Vol.35(1), pp.116-126
2026
PMID: 41198511
Abstract
Background
Same-day discharge (SDD) following elective percutaneous coronary intervention (PCI) has gained popularity; however, uptake varies worldwide, and existing SDD consensus documents have largely been developed without input from clinicians and consumers. We aimed to develop an SDD clinical pathway in collaboration with clinicians, patients, and carers.
Method
This was a mixed-methods study. The AGREE II instrument was used to guide the development of the SDD clinical pathway to ensure rigour. A hybrid workshop, allowing both online and in-person attendance, was conducted with participants from six public hospitals in Queensland, Australia. The project funded all participants’ travel to the workshop to maximise in-person attendance. A modified seven-step nominal group technique was used to guide the workshop and refine the clinical pathway. Sessions in Step 4 (participants presented ideas one by one) and Step 5 (researchers provided clarification) were audio-recorded and transcribed verbatim. Deductive content analysis was undertaken. We counted and recorded numbers for quantitative data.
Results
A total of 15 participants took part in the study, including nurses (n=6), medical officers (n=5), patients (n=3), and a carer representative (n=1). Consensus was achieved for six out of seven pre-PCI factors, all 14 post-PCI factors, all nine pre-discharge checklist statements, and all five risk management statements. All participants agreed that, despite the consensus, the final SDD decision should remain with the interventional cardiologist performing the procedure.
Conclusions
Our approach has demonstrated that the developed clinical pathway is not only evidence-based but also considers contextual factors and the needs of consumers. It will assist clinicians in making decisions about SDD in hospitals, thereby enhancing the efficiency of cardiac service delivery and improving patient satisfaction.
Details
- Title
- Developing a Same-Day Discharge Clinical Pathway for Patients Undergoing Elective Percutaneous Coronary Intervention Using a Nominal Group Technique
- Authors
- Yingyan Chen (Corresponding Author) - University of the Sunshine Coast, Queensland, School of Health - NursingJacqueline Peet - University of the Sunshine Coast, Queensland, School of Health - NursingNatalie Hausin - Cairns HospitalDavid Hinds - Townsville HospitalRohan Jayasinghe - Gold Coast HospitalWendy Kennedy - Princess Alexandra HospitalSuzanne Morris - Gold Coast HospitalRohan Poulter - Sunshine Coast University HospitalGregory Starmer - Cairns HospitalYash Singbal - Princess Alexandra HospitalAnna Townsend - Mackay Base HospitalPaul Wallis - Sunshine Coast University HospitalRaibhan Yadav - Townsville HospitalZhihua Zhang - Mackay Base HospitalKaren WardropJunel Padigos - Central Queensland UniversityFrances Fengzhi Lin - University of the Sunshine Coast, Queensland, School of Health - Nursing
- Publication details
- Heart, Lung and Circulation, Vol.35(1), pp.116-126
- Publisher
- Elsevier Australia
- Date published
- 2026
- DOI
- 10.1016/j.hlc.2025.07.006
- ISSN
- 1444-2892; 1443-9506
- PMID
- 41198511
- Copyright note
- © 2025 The Author(s). Published by Elsevier B.V. on behalf of Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
- Grants
- Co-designing and developing a same-day discharge guideline for patients undergoing elective percutaneous coronary intervention, 0980028114, University of the Sunshine Coast (Australia, Sunshine Coast) - UniSC
- Organisation Unit
- School of Health - Nursing
- Language
- English
- Record Identifier
- 991182741302621
- Output Type
- Journal article
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